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S4497

An act to amend the Insurance Law — 2026-01-27 · Calendar #56

The New York State Senate passed legislation amending the Insurance Law on a 47-11 vote, with the bill expanding commercial insurance coverage for fertility and family planning services. The measure, sponsored by Sen. Bailey, drew criticism from Sen. Helming, who raised concerns about its impact on healthcare premiums at a time when New York's rates already exceed the national average by 13 percent. Helming questioned the fiscal impact of the mandate, noting that school districts in her region are facing premium increases of 21 to 30 percent and that the bill's fiscal note contained conflicting cost estimates ranging from $3 million to $20 million. Bailey defended the legislation, arguing that New York became the first state legislative chamber to pass such commercial insurance coverage and that individuals should have the choice to decide when and how to have families without requiring a medical emergency. Eleven Republicans voted against the measure: Ashby, Borrello, Canzoneri-Fitzpatrick, Helming, Murray, O'Mara, Ortt, Stec, Tedisco, Walczyk, and Weik. Helming announced plans to introduce Senate Bill 8619, which would require fiscal notes on all legislation mandating or expanding insurance coverage.
PASSED Ayes: 47 · Nays: 11

Debate Summary

Sen. Helming raised concerns about the bill's impact on healthcare premiums, citing that New York premiums are already 13 percent higher than the national average and that school districts and municipalities are facing double-digit premium increases. She questioned the fiscal impact, noting a discrepancy between the bill's stated fiscal implications and the sponsor's estimate of $3-20 million in costs. Sen. Bailey, speaking for the bill, emphasized the importance of expanding access to fertility and family planning services, noting New York was the first state legislative chamber to pass such commercial insurance coverage legislation.

Recorded Votes

Recorded votes are predominantly dissenting (nay) votes captured from roll call records.

Senator Vote Party
Bailey aye Democrat
Ashby nay Republican
Borrello nay Republican
Canzoneri-Fitzpatrick nay Republican
Helming nay Republican
Murray nay Republican
O'Mara nay Republican
Ortt nay Republican
Stec nay Republican
Tedisco nay Republican
Walczyk nay Republican
Weik nay Republican

An act to amend the Insurance Law to require commercial insurance coverage of egg freezing and storage — 2025-06-09 · Calendar #1687

The New York State Senate passed legislation requiring commercial insurance plans to cover egg freezing and storage costs, marking the first house in the country to enact such a mandate. Senate Print 4497, sponsored by Sen. Hinchey, passed 51-10 on a roll call vote. Supporters characterized the bill as historic reproductive rights legislation that addresses equity in family planning by making fertility preservation accessible to women regardless of income level. Currently, egg freezing coverage is available primarily to employees of large technology companies or wealthy individuals who can afford the procedure out-of-pocket. Sen. Hinchey argued the bill enables women to defer family planning during peak career years, while Sen. Cooney framed it as transforming family planning into an equity issue. Ten senators voted against the measure: Borrello, Canzoneri-Fitzpatrick, Chan, Helming, O'Mara, Ortt, Stec, Tedisco, Walczyk, and Weik. The bill takes effect immediately upon enactment.
PASSED Ayes: 51 · Nays: 10

Debate Summary

Sen. Hinchey argued that requiring commercial insurance to cover egg freezing and storage addresses an equity issue in reproductive healthcare, allowing women to defer family planning during peak career years. Currently, only employees of large tech companies or wealthy individuals can afford this fertility preservation option. Sen. Cooney supported the bill as historic legislation that makes family planning accessible regardless of income level, framing it as a reproductive rights and equity issue.

Recorded Votes

Recorded votes are predominantly dissenting (nay) votes captured from roll call records.

Senator Vote Party
Borrello nay Republican
Canzoneri-Fitzpatrick nay Republican
Chan nay Republican
Helming nay Republican
O'Mara nay Republican
Ortt nay Republican
Stec nay Republican
Tedisco nay Republican
Walczyk nay Republican
Weik nay Republican